Individual
DANIELLE PILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1950 45TH AVE, SUITE 200, MUNSTER, IN 46321-3927
(219) 922-8188
Mailing address
11451 S AVENUE G, CHICAGO, IL 60617-7458
(773) 456-9908
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001912A
IN
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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